Organization
STEVE BLICBLUM, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BLICBLUM M.D. (PRESIDENT)
(813) 681-9507
Entity
Organization
Contact information
Practice address
431 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 681-9507
(813) 681-5403
Mailing address
PO BOX 852, BRANDON, FL 33509-0852
(813) 681-9507
(813) 681-5403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003841925
NPI
FL
01
—
1447285440
NPI
FL
Enumeration date
08/21/2006
Last updated
07/21/2022
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